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ELEC - 1455903
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ELEC - 1455903
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Last modified
2/9/2013 1:57:56 PM
Creation date
7/21/2004 11:13:25 AM
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Template:
Permits
Permit Address
8532 HOLMQUIST RD SE
Permit City
Aumsville
Permit Number
555-96-06415
Parcel Number
081W31C 01201
Permit Type
ELEC
Permit Doc Type
Permit Document
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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> ELECTRICAL PERIqIT <br /> <br />R~ident. addition/alteration ~TA~ : I~ <br /> I ~/1~ <br /> <br /> FOR ~EPTIC PIJ~P & CELL <br /> <br /> CITY: HARION COUNTY <br /> 85~2 HOI.fl~U[ST RB SE ~H <br /> <br />CROSS STRFFT : <br /> <br />PARCEL NUMBER : <br /> <br />OWNER NAHF : <br /> <br />APP!.ICANT <br /> <br />PHONE : <br /> <br />CONTRACTOR <br />PHONE <br /> <br />FIECTRICTAN <br /> PHON~ <br /> <br />~tlPV FLEC <br />PHONE <br /> <br />BATES R~ <br /> <br />5&353-~01 <br /> <br />BORNER, I)ONAL]) E & NARJORIE A <br /> <br />BORNER.~ONALD & HARJORIE <br />8532 HOI.flOUEST RD <br />AUNSVILLE OR <br /> <br />5~3-749-1~92 <br /> <br />BOR~ER.~ONALD & MARJORIE <br />5a3 749-1a72 <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: <br />SUPERVISOR LICENSE: <br /> <br />tlnit~ 9escrJption Fee <br />2 'Branch circuits ~7.BB <br />~ State surcharge 1.as <br />I Refund .aB <br /> <br /> Assessed fees : 38.85 <br /> Adjustments : .aa <br /> Total fees : 3B.85 <br />PAYEE: BORNER,DONAI.D & NARJOR~E ~o~al pa~ents: 38.85 <br /> ~azance mia : · <br /> <br />WRITTEN REGUEST, ~ SIX fl(]~TH EXTENSION HAY BE ~R~HTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONDAtD E WOOIJLEY~ MARION COUNTY BLIILDIfl~G OFFICIAL / BY CLYNCH <br /> <br /> <br />
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